Patient Access Coordinator - Healthcare Benefits Exp

Responsibilities for Candidates

- Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards
- Investigate and verify benefits for pharmacy and medical third-party claims for assigned cases
- Complete status check with insurance company regarding receipt/outcome of prior authorization and appeal; obtain approval information and activates copay cards based off of eligibility and specific drug prescribed
- Track, report and escalate service issues arising from requests for authorizations, financial assistance or other issues that delay service
- Notify patients when their prescription has been transferred and follow up with specialty pharmacy to confirm the prescription was received (in some jurisdictions)
- Coordinate verbal transfer by a pharmacist if specialty pharmacy has no record of prescription (in some jurisdictions); confirm with patient that prescription was received from alternate specialty pharmacy
- Complete a series of assessments mandated by either manufacturer contracts or operations and facilitates patient enrollment with manufacturer Hubs when required
- Document case activity, communications and correspondence in computer system to ensure completeness and accuracy of patient contact records
- Ensure that work activities are conducted in compliance with regulatory requirements and the organization s defined standards and procedures, and in a manner that provides the best available level of service and quality
- Perform or assist with any operations, as required to maintain workflow and to meet business needs
- Perform other related duties as assigned
- Must be able to perform the essential job functions of this position with or without reasonable accommodation

Minimum
- High School Diploma or GED
- 1 year of proven work experience in a healthcare or customer service industry

Job Type: Full-time

Pay: From $16.85 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Opportunities for advancement
• Paid time off
• Paid training
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Oncology
• Primary Care
• Pulmonology
• Rheumatology

Schedule:

• Monday to Friday
• No weekends

Education:

• High school or equivalent (Required)

Experience:

• benefits: 1 year (Preferred)

Work Location: In person